Expect the unexpected: A case of malignant hyperthermia in a 14-year-old boy undergoing gastroscopy

By Annie Xin | Volume 7, Issue 1 2016

Malignant hyperthermia (MH) is a rare pharmacogenetic disorder, in which volatile anaesthetic agents trigger deregulated calcium release causing hypermetabolic crisis in susceptible individuals. MH is an anaesthetic emergency that requires prompt recognition due to the high mortality related to delayed treatment. This report documents an unexpected case of MH during an elective gastroscopy at the […]  Read More →

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The management of adnexal masses in pregnant women: A case report and review of literature

By Dr. Michael Petinga, A/Prof Chris Georgiou | Volume 6, Issue 2 2015

A 33 yr old woman presents with irregular menstrual bleeding and on examination has bilateral adnexal masses. At this original presentation, she was unexpectedly pregnant in the first trimester. Throughout her pregnancy these adnexal masses were presumed to be benign ovarian dermoids. However, at caesarean section the appearances were suspicious. Histological studies confirmed the presence […]  Read More →

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A case of haemorrhagic pericardial tamponade in an adolescent

By Hui Ling Tan, Dr Ramanathan Parameswaran, A/Prof Brian Herman | Volume 6, Issue 2 2015

Pericardial effusions are not uncommonly encountered, and can be of infectious, autoimmune, malignant, and idiopathic aetiology. Large pericardial effusions may result in cardiac tamponade, which is a medical emergency. We report a case of a massive haemorrhagic pericardial effusion complicated by tamponade in a 19 year old chef apprentice. He underwent an emergency pericardiocentesis, and […]  Read More →

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Cannabinoid Hyperemesis Syndrome: A clinical discussion

By Amraj Gill | Volume 6, Issue 2 2015

This report describes a case of a 33-year-old female with cyclical vomiting associated with cannabis use, which was subsequently diagnosed as Cannabinoid Hyperemesis Syndrome (CHS). While the exact epidemiology of CHS is unknown, cannabis is the most commonly used illicit substance in Australia and the world. CHS is typically characterised by the triad of heavy […]  Read More →

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Impact of socioeconomic status on the provision of surgical care

By Zaynab El-Hamawi, Christian Said, Anthony Le, Melani Mahendran, Samantha Rajakariar | Volume 6, Issue 1 2015

In Australia, there is an association between low socioeconomic status (SES) and poor health outcomes. Surgical conditions account for a large portion of a population’s disease burden. The aim was to determine the difference in provision of surgical care and patient satisfaction between low and high SES communities in Sydney, Australia. A cross sectional analytical […]  Read More →

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Adolescent-onset metabolic syndrome

By Natalie Ngu | Volume 6, Issue 1 2015

Obesity is a common cause of insulin resistance (metabolic syndrome) in adults, however in recent years this has extended into much younger age groups. Associated conditions including dyslipidaemia, type 2 diabetes mellitus, and cardiovascular complications are all major components of metabolic syndrome. This case report describes a sixteen-year-old with features typical of adult-onset metabolic syndrome. […]  Read More →

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Efficacy of mirtazapine as adjunct therapy to antipsychotics in the treatment of chronic schizophrenia

By Dr. Karen A. Mathew | Volume 6, Issue 1 2015

Aim: The aim of this article was to review the literature and evaluate the evidence that is available on the effectiveness of mirtazapine as adjunct therapy to antipsychotics for chronic schizophrenia. Case Study: SC, a 44 year old male with a previous psychiatric history of chronic paranoid schizophrenia, voluntarily presented to an acute mental health […]  Read More →

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Medication-induced acute angle-closure glaucoma: a case study

By Allister Howie | Volume 5, Issue 1 2015

Acute angle-closure glaucoma, is an uncommon condition. It is an emergency associated with the potential for significant vision loss and unilateral blindness if not diagnosed and treated promptly. This case describes a classic presentation of angle-closure glaucoma, highlighting the potential of certain medications to precipitate acute angle-closure glaucoma in at-risk individuals. Although the incidence is […]  Read More →

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Mobile segment of the hamulus causing dynamic compression of the motor ulnar nerve branch in the hand

By Sheldon Moniz & Tarryn Sohn | Volume 4, Issue 2 2014

This paper is the first to document the mechanism of how a mobile segment of the hook of hamate can dynamically compress the motor branch of the ulnar nerve. Presented is the case of a professional golfer who experienced pain on the ulnar aspect of his right hand that he attributed to weakness and inability […]  Read More →

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Adult Onset Still’s Disease – a diagnostic dilemma

By Suyi Ooi | Volume 4, Issue 2 2014

Introduction ASOD is characterised by fever, an evanescent skin rash, polyarthralgia, hepatosplenomegaly, leucocytosis, liver enzyme elevation and a high serum ferritin level. [1,2,3] It is a difficult diagnosis to make, as there is no pathognomonic test for the disease and it is a great mimicker of other conditions, such as autoimmune disorders and haematological malignancies. […]  Read More →

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